<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1665-1146</journal-id>
<journal-title><![CDATA[Boletín médico del Hospital Infantil de México]]></journal-title>
<abbrev-journal-title><![CDATA[Bol. Med. Hosp. Infant. Mex.]]></abbrev-journal-title>
<issn>1665-1146</issn>
<publisher>
<publisher-name><![CDATA[Instituto Nacional de Salud, Hospital Infantil de México Federico Gómez]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1665-11462021000600636</article-id>
<article-id pub-id-type="doi">10.24875/bmhim.20000406</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Cerebral aneurysms in pediatrics: a case report and review of the literature]]></article-title>
<article-title xml:lang="es"><![CDATA[Aneurismas cerebrales en pediatría: reporte de un caso y revisión de la literatura]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Heredia-Gutiérrez]]></surname>
<given-names><![CDATA[Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carbarín-Carbarín]]></surname>
<given-names><![CDATA[María E.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital para el Niño Poblano Servicio de Neurocirugía Pediátrica ]]></institution>
<addr-line><![CDATA[San Andrés Cholula Puebla]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital para el Niño Poblano Unidad de Terapia Intensiva Pediátrica ]]></institution>
<addr-line><![CDATA[San Andrés Cholula Puebla]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<volume>78</volume>
<numero>6</numero>
<fpage>636</fpage>
<lpage>641</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1665-11462021000600636&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1665-11462021000600636&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1665-11462021000600636&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background: Cerebral aneurysms in pediatrics represent &lt; 4% of the total of this condition, and their rupture represents 10-23% mortality. Aneurysms have been associated with infections, head injuries, sickle cell anemia, cardiovascular diseases, autoimmune diseases, immunodeficiencies, and connective tissue diseases. Their clinical presentation includes severe headache, seizures, motor-sensory deficits, and death due to subarachnoid and intraparenchymal hemorrhage.  Case report: We describe the case of a 12-year-old female patient who presented with a sudden intense headache; after 72 hours, generalized tonic-clonic seizures were observed. At the hospital, she was stabilized with antiepileptic drugs and analgesics. A simple head computed tomography scan showed intraparenchymal hemorrhage in the right frontal lobe and subarachnoid hemorrhage. The study was complemented with a cerebral angiotomography, which revealed an aneurysm of the anterior communicating artery. The pediatric neurosurgeon evaluated the case, and management in the pediatric intensive care unit was decided. Two weeks after the stroke, the aneurysm was clipped and excluded. The patient developed adequate clinical evolution and resolution of initial symptoms, resuming her daily activities.  Conclusions: Pediatric cerebral aneurysms differ from their adult counterparts, mainly in their etiology and evolution. In addition, pediatric patients have a longer life expectancy. Aneurysm clipping and neurological endovascular therapy have shown similar results.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: Los aneurismas cerebrales en pediatría representan menos del 4% del total de estos padecimientos, aunque su rotura tiene una mortalidad del 10-23%. Se han asociado con infecciones, traumatismos craneoencefálicos, anemia de células falciformes, enfermedades cardiovasculares, enfermedades autoinmunitarias, inmunodeficiencias y enfermedades del tejido conectivo. Su presentación clínica se manifiesta con cefalea intensa, crisis convulsivas, déficit motor-sensitivo y muerte debida a la hemorragia subaracnoidea e intraparenquimatosa.  Caso clínico: Se describe el caso de una paciente de 12 años que presentó cefalea súbita intensa; a las 72 horas se agregaron crisis convulsivas tónico-clónicas generalizadas. En el hospital se estabilizó con fármacos antiepilépticos y analgésicos. Se le realizó una tomografía de cráneo simple que evidenció hemorragia intraparenquimatosa en el lóbulo frontal derecho y hemorragia subaracnoidea. El estudio se complementó con una angiotomografía cerebral, la cual reveló un aneurisma de la arteria comunicante anterior. Fue valorada por el neurocirujano pediatra y se decidió su manejo en la unidad de terapia intensiva pediátrica. A las 2 semanas de iniciado el evento se realizó clipaje y exclusión del aneurisma. La paciente tuvo una adecuada evolución clínica y resolución de los síntomas iniciales, retomando sus actividades de la vida diaria.  Conclusiones: Los aneurismas cerebrales en pediatría difieren de su contraparte en los adultos, principalmente en su etiología y evolución, ya que los pacientes pediátricos tienen mayor expectativa de vida. El clipaje del aneurisma y la terapia endovascular neurológica han mostrado resultados similares.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Cerebral aneurysm]]></kwd>
<kwd lng="en"><![CDATA[Pediatrics]]></kwd>
<kwd lng="en"><![CDATA[Aneurysm clipping]]></kwd>
<kwd lng="en"><![CDATA[Endovascular therapy]]></kwd>
<kwd lng="es"><![CDATA[Aneurisma cerebral]]></kwd>
<kwd lng="es"><![CDATA[Pediatría]]></kwd>
<kwd lng="es"><![CDATA[Clipaje de aneurisma]]></kwd>
<kwd lng="es"><![CDATA[Terapia endovascular]]></kwd>
</kwd-group>
</article-meta>
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